TIPS-associated Hemolysis and Encephalopathy
Authors: Arun J. Sanyal, Arthur M. Freedman, Preston P. Purdum
Journal: Annals of Internal Medicine (1992)

Letters1 September 1992TIPS-associated Hemolysis and EncephalopathyArun J. Sanyal, MD, Arthur M. Freedman, MD, Preston P. Purdum III, MDArun J. Sanyal, MDSearch for more papers by this author, Arthur M. Freedman, MDSearch for more papers by this author, Preston P. Purdum III, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-117-5-443 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: Transjugular intrahepatic portosystemic shunts (TIPS) are being increasingly used for the treatment of portal hypertension (1). Although effective, the potential morbidity from this procedure has not been extensively studied. We report a case of progressive encephalopathy and hemolytic anemia caused by intravascular hemolysis related to TIPS.A 48-year-old Korean man with cirrhosis secondary to chronic hepatitis C was referred for evaluation for orthotopic liver transplantation after developing progressive fatigue and hypoalbuminemia. During evaluation for transplantation, he was hospitalized for hematemesis. After hemodynamic stabilization, endoscopy showed esophageal varices with a fibrin clot and oozing. Bleeding was controlled by...Reference1. RichterNoeldgeRoesslePalmaz GGMJ. Evolution and clinical introduction of TIPSS, the transjugular intrahepatic portosystemic stent-shunt. Semin Inter Radiol. 1991;8:331-40. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Medical College of Virginia Richmond, VA 23298 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByMechanical hemolysis after transjugular intrahepatic portosystemic shunt can occur with covered stentRole of TIPS and Surgery in Prevention of RebleedingGastrointestinal Bleeding in Cirrhotic Patients with Portal HypertensionTIPSThe Transjugular Intrahepatic Portosystemic Shunt (TIPS)Interventional Radiology in the Treatment of Portal HypertensionReply to the letter by O. Riggio et al. regarding “TIPS for refractory ascites”Safety of CO 2 - and Gadodiamide-Enhanced Angiography for the Evaluation and Percutaneous Treatment of Renal Artery Stenosis in Patients with Chronic Renal InsufficiencyTransjugular Intrahepatic Portosystemic Shunts in the Treatment of Refractory Ascites: Results in 48 Consecutive PatientsReversal of hemolytic anemia and hepatic encephalopathy by transjugular intrahepatic portosystemic shunt occlusionHuman hepatocyte transplantation: biology and therapyIntravascular stents do not cause microangiopathic hemolysis or thrombotic microangiopathyCurrent status of transjugular intrahepatic portosystemic shunts.The Role of TIPS in Variceal BleedingThe role of transjugular intrahepatic portosystemic shunt for treatment of portal hypertension and its complications: A conference sponsored by the national digestive diseases advisory boardTransjugular intrahepatic portosystemic shunt for refractory ascites: Tipping the sodium balanceWallstent misplacement into the paraumbilical vein during TIPS from the left hepatic vein: Correction by placing a second stent through the mesh of the first stentReview article: the transjugular intrahepatic portosystemic shunt (TIPS) in the treatment of portal hypertensionIntravascular hemolysis and transjugular intrahepatic portosystemic stent shunt 1 September 1992Volume 117, Issue 5Page: 443-444KeywordsBrain diseasesFatigueFibrinHemodynamicsHemolytic anemiaHemorrhageMorbidityOrthotopic liver transplantationPortal hypertensionTransplantation Issue Published: 1 September 1992 PDF DownloadLoading ...